Active NPI
Ahmad Mersal, DDS
- Dentist
- Inglewood, CA
National Provider Identifier
1881290112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105863
- Practice address
- 652 E Regent St
Inglewood, CA 90301-1415 - Phone
- (310) 330-0604
- Fax
- (310) 330-0590
- NPI assigned
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105863 | CA | Primary |
Addresses
Primary practice location
652 E Regent St
Inglewood, CA 90301-1415
Mailing address
2008 Graham Ave
Redondo Beach, CA 90278-1923
Phone (310) 658-1636
Other names 1
- Ahmed Fahmi Youssef Elsaid Mersal
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105863 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmad Mersal DDS Inc | Current | Accepting new patients | |
| Doris a. Guevara D.D.S., Inc | Past | Accepting new patients |
Locations
12252 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 943-0151
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- La Mirada, CA
- NPI 1952169633
-
- General Practice Dentistry
- Inglewood, CA
- NPI 1073719373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1881290112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 GRAHAM AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902781923",
"telephone_number": "310-658-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 E REGENT ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011415",
"telephone_number": "310-330-0604",
"fax_number": "310-330-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERSAL",
"first_name": "AHMAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2021-01-04",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AHMED",
"last_name": "MERSAL",
"middle_name": "FAHMI YOUSSEF ELSAID",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.